生物反馈电刺激联合Kegel训练对产后盆底功能障碍性疾病患者盆底功能电生理指标和生活质量的影响

目的:观察生物反馈电刺激联合Kegel训练对产后盆底功能障碍性疾病(PFD)患者盆底功能电生理指标和生活质量的影响。方法:研究对象为2018年3月~2020年12月我院收治的80例产后PFD患者。采用双色球随机分组法将患者分为对照组(n=40)和研究组(n=40)。对照组给予Kegel训练,研究组给予生物反馈电刺激联合Kegel训练,两组均治疗8周。对比两组治疗8周后的疗效和尿失禁、盆底器官脱垂程度的改善情况。对比两组治疗前、治疗8周后的盆底功能电生理指标、日常生活质量和性生活质量。结果:治疗8周后,研究组的临床总有效率较对照组高(P<0.05)。治疗8周后,研究组I类肌纤维疲劳度、Ⅱ类肌纤维疲劳度、快肌最大肌电值及阴道动态压力均优于对照组(P<0.05)。研究组治疗8周后尿失禁、盆底器官脱垂程度的改善情况优于对照组(P<0.05)。治疗8周后,研究组盆底功能影响问卷简表(PIFQ-7)评分、盆腔器官脱垂-尿失禁性功能问卷(PISQ-12)评分均低于对照组(P<0.05)。结论:产后PFD患者采用生物反馈电刺激联合Kegel训练治疗疗效明确,可促进尿失禁、盆底器官脱垂程度情况及盆底功能改善,提高患者日常生活质量和性生活质量。

Effects of Biofeedback Electrical Stimulation Combined with Kegel Training on the Electrophysiological Indexes of Pelvic Floor Function and Quality of Life in Patients with Postpartum Pelvic Floor Dysfunction Disease

Objective:To observe the effect of biofeedback electrical stimulation combined with Kegel training on the electrophysiological indexes of pelvic floor function and quality of life in patients with postpartum pelvic floor dysfunction(PFD)disease.Methods:The research objects were 80 cases of patients with postpartum PFD in our hospital from March 2018 to December 2020.The patients were randomly divided into control group(n=40)and study group(n=40)by the double chromosphere randomized grouping method.The control group was given Kegel training,and the study group was given biofeedback electrical stimulation combined with Kegel training,both groups were treated for 8 weeks.The curative effect and the improvement of urinary incontinence and degree of pelvic organ prolapse were compared between the two groups at 8 weeks after treatment.The electrophysiological indexes of pelvic floor function,quality of daily life and quality of sexual life between the two groups before treatment and after treatment were compared.Results:8 weeks after treatment,the total effective rate of the study group was higher than that of the control group(P<0.05).8 weeks after treatment,the I muscle fiber fatigue degree,Ⅱmuscle fiber fatigue degree,fast muscle maximum electromyography and vaginal dynamic pressure of the study group were better than those of the control group(P<0.05).8 weeks after treatment,the improvement of urinary incontinence and degree of pelvic organ prolapse of the study group were better than those of the control group(P<0.05).8 weeks after treatment,the score of pelvic floor function impact questionnaire(PIFQ-7)and the score of pelvic organ prolapse incontinence function questionnaire(PISQ-12)of the study group were lower than those of the control group(P<0.05).Conclusion:The patients with postpartum PFD are treated with biofeedback electrical stimulation combined with Kegel training has a clear efficacy,which can improve the urinary incontinence and degree of pelvic floor organ prolapse,pelvic floor function improvement,improve the quality of daily life and quality of sexual life of patients.